RESTLESS LEGS SYNDROME

Restless legs syndrome is a common condition characterized by unpleasa nt limb sensations that are precipitated by rest and relieved by activ ity. Symptoms are worse during the evening and may result in insomnia, Most cases are idiopathic, although the condition is sometimes famili al and may be associated with a range of medical illnesses, including chronic renal failure and iron deficiency anemia. Restless legs syndro me is responsive to several medications, including levodopa, dopamine agonists, benzodiazepines, opioids, and some anticonvulsants. A practi cal approach to management involves a stepwise plan, commencing with i ntermittent therapy with less potent agents for mild cases and progres sing to medications with greater potency but a higher potential for si de effects.